Vlaspolder G L, Vloemans A F P M, Breederveld R S
Brandwondencentrum Rode Kruis Ziekenhuis, afd. Heelkunde en Brandwondengeneeskunde, Beverwijk.
Ned Tijdschr Geneeskd. 2017;161:D591.
The initial care of a patient with burns is a challenge for every doctor. After cooling the burn appropriately, a careful history and a good initial assessment are of essential importance for treatment. The burn should be inspected regularly for early detection of any infection and to evaluate wound healing. If healing has not occurred in two weeks, hypertrophic scarring may develop and surgical treatment should be considered. It is always possible to contact the burns centres in Beverwijk, Rotterdam and Groningen to discuss treatment of the burn, any infection of a wound, consideration of surgical treatment, or transfer of a patient to a burn centre.
对每位医生来说，烧伤患者的初期护理都是一项挑战。在对烧伤进行适当冷却后，详细的病史和良好的初始评估对治疗至关重要。应定期检查烧伤情况，以便早期发现任何感染并评估伤口愈合情况。如果两周内伤口未愈合，可能会形成增生性瘢痕，此时应考虑手术治疗。随时可以联系贝弗维克、鹿特丹和格罗宁根的烧伤中心，讨论烧伤治疗、伤口感染情况、手术治疗的考虑或患者转至烧伤中心的事宜。
